Community Residences, INC.
Clinic/Center, Adolescent and Children Mental Health in Newington, CT. Organization (NPI-2).
NPI number1063782662
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1063782662
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Residences, INC.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2012
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | opcc68 | CT | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | 0520 | CT | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0432 | CT |
Practice location
205 Kelsey StUnit 12
Newington, CT 06111-5436
Phone 860-878-6858 · Fax 860-665-9679
Mailing address
50 Rockwell RdNewington, CT 06111-5526
Phone 860-621-7600 · Fax 860-620-9846
Authorized official
Pamela Paisey
President/Ceo
8606217600
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